| Name | Jack D Haverstick |
|---|---|
| Sex | male |
| Birth Date | March 22, 1950 |
| Death Date | September 30, 1969 |
| Age at Death | 19 years, 6 months, 8 days old |
| Birth Place | California |
| Death Place | Los Angeles County, California |
| Mother's Maiden Name | Davis |
| Social Security Number | 556-80-7659 |